Relative contribution of various chronic diseases and multi-morbidity to potential disability among Dutch elderly

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dc.contributor.authorBotes, Riaan
dc.contributor.authorVermeulen, Karin M.
dc.contributor.authorCorreia, Janine
dc.contributor.authorBuskens, Erik
dc.contributor.authorJanssen, Fanny
dc.date.accessioned2018-01-22T09:00:39Z
dc.date.available2018-01-22T09:00:39Z
dc.date.issued2018
dc.description.abstractBACKGROUND: The amount of time spent living with disease greatly influences elderly people’s wellbeing, disability and healthcare costs, but differs by disease, age and sex. METHODS: We assessed how various single and combined diseases differentially affect life years spent living with disease in Dutch elderly men and women (65+) over their remaining life course. Multistate life table calculations were applied to age and sex-specific disease prevalence, incidence and death rates for the Netherlands in 2007. We distinguished congestive heart failure, coronary heart disease (CHD), breast and prostate cancer, colon cancer, lung cancer, diabetes, COPD, stroke, dementia and osteoarthritis. RESULTS: Across ages 65, 70, 75, 80 and 85, CHD caused the most time spent living with disease for Dutch men (from 7.6 years at age 65 to 3.7 years at age 85) and osteoarthritis for Dutch women (from 11.7 years at age 65 to 4. 8 years at age 85). Of the various co-occurrences of disease, the combination of diabetes and osteoarthritis led to the most time spent living with disease, for both men (from 11.2 years at age 65 to 4.9 -years at age 85) and women (from 14.2 years at age 65 to 6.0 years at age 85). CONCLUSIONS: Specific single and multi-morbid diseases affect men and women differently at different phases in the life course in terms of the time spent living with disease, and consequently, their potential disability. Timely sex and age-specific interventions targeting prevention of the single and combined diseases identified could reduce healthcare costs and increase wellbeing in elderly people.en_US
dc.identifier.citationBotes, R. et al. (2018). Relative contribution of various chronic diseases and multi-morbidity to potential disability among Dutch elderly. BMC Health Services Research, 18(24)en_US
dc.identifier.issn1472-6963
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-017-2820-0
dc.identifier.urihttp://hdl.handle.net/10566/3406
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisher2018en_US
dc.rights© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.status.ispeerreviewedTRUE
dc.subjectChronic diseaseen_US
dc.subjectElderlyen_US
dc.subjectMulti-state life tablesen_US
dc.subjectSex and age specific interventionsen_US
dc.titleRelative contribution of various chronic diseases and multi-morbidity to potential disability among Dutch elderlyen_US
dc.typeArticleen_US

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